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关于癌症疼痛管理的知识与态度:肿瘤专科护士与非肿瘤专科护士的比较

Knowledge and attitudes about cancer pain management: a comparison of oncology and nononcology nurses.

作者信息

Rushton Patricia, Eggett Dennis, Sutherland Carolyn W

机构信息

College of Nursing, Brigham Young University, Salt Lake City, UT, USA.

出版信息

Oncol Nurs Forum. 2003 Sep-Oct;30(5):849-55. doi: 10.1188/03.ONF.849-855.

Abstract

PURPOSE/OBJECTIVES: To obtain information about the knowledge and attitudes of Utah nurses concerning cancer pain management.

DESIGN

Descriptive study.

SETTING

Nurses in Utah.

SAMPLE

44 oncology nurses and 303 nononcology nurses completed the study.

METHODS

Ferrell's Nurses' Knowledge and Attitudes Survey Regarding Pain was given to oncology and nononcology nurses to compare knowledge and attitudes about treating cancer pain.

MAIN RESEARCH VARIABLES

Knowledge and attitudes regarding cancer pain.

FINDINGS

Attitudes of oncology nurses were more in line with recommended practices (principles) of cancer pain management than those of nononcology nurses. Oncology nurses had a better understanding of recommended practices (principles) of cancer pain management than nononcology nurses but still struggled with understanding the pharmacology of medications used to manage cancer pain.

CONCLUSIONS

Nurses do not use evidence-based practice in pain management consistently. Continuing education regarding cancer pain management remains important for oncology and nononcology nurses.

IMPLICATIONS FOR NURSING

Adoption of evidence-based practice requires ongoing education of nurses and support from nursing colleagues, nursing administration, and associated healthcare providers. Data from this study can be used to design a curriculum involving content about cancer pain management. All members of the healthcare team should be supported in practicing the correct principles of cancer pain management in actual practice.

摘要

目的/目标:获取犹他州护士关于癌症疼痛管理的知识和态度的信息。

设计

描述性研究。

地点

犹他州的护士。

样本

44名肿瘤专科护士和303名非肿瘤专科护士完成了该研究。

方法

向肿瘤专科护士和非肿瘤专科护士发放费雷尔的《护士关于疼痛的知识和态度调查问卷》,以比较她们对治疗癌症疼痛的知识和态度。

主要研究变量

关于癌症疼痛的知识和态度。

研究结果

与非肿瘤专科护士相比,肿瘤专科护士的态度更符合癌症疼痛管理的推荐做法(原则)。肿瘤专科护士比非肿瘤专科护士更了解癌症疼痛管理的推荐做法(原则),但在理解用于管理癌症疼痛的药物药理学方面仍存在困难。

结论

护士在疼痛管理中并非始终采用循证实践。对肿瘤专科护士和非肿瘤专科护士而言,关于癌症疼痛管理的继续教育仍然很重要。

对护理工作的启示

采用循证实践需要对护士进行持续教育,并得到护理同事、护理管理层及相关医疗服务提供者的支持。本研究的数据可用于设计一门包含癌症疼痛管理内容的课程。应支持医疗团队的所有成员在实际工作中践行正确的癌症疼痛管理原则。

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